The American Civil Liberties Union of Rhode Island has urged the Rhode Island Department of Health to revise proposed regulations that would require physicians to establish written treatment agreements that, among other things, force patients to submit to drug tests on demand in order to receive their pain medication. In written testimony, the ACLU of RI said that these regulations and the department’s model agreement erode patient privacy, undermine the trust that should underlie a doctor-patient relationship, and may encourage individuals with addictions to seek their medication underground.